Miguel Angel Delgado, MD

Individual provider Active NPI Psychiatry Physician · Sayville, NY

NPI 1649237249 · NPPES record last updated Nov 29, 2007

Key facts

NPI
1649237249
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
194249 (NY)
Practice address
29 Lowell Rd
Sayville, NY 11782-2212
Phone
(631) 244-7889
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Psychiatry
Education
University Central del Caribe Escuela de Medicina, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John T Mather Memorial Hospital (176 clinicians)

Practice addresses (Care Compare)

125 Oakland Ave
Suite 303
Port Jefferson, NY 11777-2130
Phone (631) 928-3122

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100 (apm)
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050914001295 NY Practitioner - Psychiatry 7416980966 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
194249NYMDPsychiatry Physician

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
John T. Mather Memorial Hospital Current
since Oct 14, 2023
Accepting new patients
John T Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital Psychiatry Current Accepting new patients
John T Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital Psychiatry Current
since Oct 14, 2023
Accepting new patients
Brian Gordon & Associates, Inc. Past Accepting new patients
John T. Mather Memorial Hospital Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

125 Oakland Ave
Ste 303
Port Jefferson, NY 11777
Phone (631) 729-2140

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 194249 NY Yes

Addresses

Primary practice location

29 Lowell Rd
Sayville, NY 11782-2212

Mailing address

29 Lowell Rd
Sayville, NY 11782-2212
Phone (631) 244-7889

Other identifiers

IdentifierTypeStateIssuer
01693530MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 29, 2007.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1649237249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LOWELL RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822212",
            "telephone_number": "631-244-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LOWELL RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822212",
            "telephone_number": "631-244-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "194249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01693530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

All providers in Sayville, NY · Psychiatry Physician in New York

Sources for this page

Verify at the official NPI Registry.